Individual
MR. ROSHANTA FRANCHESCA TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-4704
Mailing address
410 STONEBROOK BLVD, BOSSIER CITY, LA 71111-5151
(318) 828-4397
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041326118
IL
163W00000X
Registered Nurse
Primary
119855
LA
163W00000X
Registered Nurse
133471
TX
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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